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ORIGINAL ARTICLES
Year : 2021  |  Volume : 12  |  Issue : 5  |  Page : 79-85

Current practices in diagnosis and management of gestational diabetes: A Bangladesh study


1 Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine, and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh
2 Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka, Bangladesh
3 National Healthcare Network, Diabetic Association of Bangladesh, Mirpur-10, Dhaka, Bangladesh
4 Department of Endocrinology and Metabolism, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
5 Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
6 Department of Ophthalmology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine, and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh
7 NCDC Program, Directorate General of Health Services, Mohakhali, Dhaka, Bangladesh
8 Bangladesh Institutes of Health Sciences, Dhaka, Bangladesh
9 Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka, Bangladesh; Faculty of Health Sciences, Nord University, Bodø, Norway; International Diabetes Federation (IDF), 166 Chaussee de La Hulpe, Brussels, Belgium

Correspondence Address:
Dr. Bishwajit Bhowmik
Centre for Global Health Research, Diabetic Association of Bangladesh, 122 Kazi Nazrul Avenue, Shahbagh, Dhaka.
Bangladesh
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jod.jod_14_21

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Background: In the absence of international or national guidelines for the diagnosis and treatment of gestational diabetes mellitus (GDM), physicians’ current practice varies a great deal. This is particularly true for most developing countries, including Bangladesh. We have conducted a study to register the current practices related to the diagnosis and management of GDM in Bangladesh. Materials and Methods: A cross-sectional survey was conducted to obtain details regarding diagnostic criteria used, screening methods, management strategies, and postpartum follow-up of GDM using a structured questionnaire. A total of 756 physicians from 30 centers of the Diabetic Association of Bangladesh, Government and Private Hospitals located in both the capital Dhaka city and outside Dhaka participated. Results: The study found that diabetologists look after 42.5% of the GDM patients. Among the physicians participated, 44.4% preferred first antenatal care visit for the GDM screening, and 55.2% preferred two samples oral glucose tolerance test (OGTT) for screening. About 47.6% of the physicians followed the American Diabetic Association (ADA) guidelines for diagnosis. Half of the participated physicians preferred short-acting insulin and four-times home monitoring of blood glucose per day. Around 66.3% of the physicians advised OGTT 6 weeks after delivery. Conclusion: The majority of the participating physicians do not follow the recommendations for the diagnosis and management of GDM. This emphasizes the need for developing an evidence-based national guideline for GDM and necessary training to halt the rise of diabetes and safe mother and child health in Bangladesh.


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